Does my family have medical coverage while I am receiving Workers’ Compensation?
Depending on your collective bargaining agreement, your employer may be required to make contributions, providing coverage for you and your family. Coverage is limited to treatment unrelated to the Workers’ Compensation claim. You may also be eligible to make COBRA self-payments. Refer to your Summary Plan Description for detailed information
What procedure do I follow if I am injured at work?
The Plan does not provide benefits for illness or injury that are, in any way, work-related and/or covered by Workers’ Compensation or similar law. If you feel you have an illness or injury because of conditions on the job, you should:
- Let your employer know immediately and complete a report.
- Seek medical treatment and inform the doctor of possible Workers’ Compensation.
- Notify the Plan so that your records can be flagged.
If my claim was denied from Workers’ Compensation, will the Plan pay my medical expenses?
It depends on the reason(s) your claim was denied by Workers’ Compensation. If Workers’ Compensation denied your claim because it determined your injury or illness was not related to your employment, the Plan may consider payment for your treatment; however, the Plan may require that you file an appeal with Workers’ Compensation and may further require that you sign a Subrogation and Reimbursement agreement. If your claim is denied for reasons other than your injury or illness is unrelated to your employment, the Plan will not provide any benefits for the work-related injury/illness.
Can I file claims for future treatment related to the Workers' Compensation injury?
In most cases, Workers' Compensation related treatment is not payable for at least a five (5) year period from the date of injury or illness. After this, related treatment may be payable unless it is still compensable under Workers’ Compensation.